The hospital has outstanding professional characteristics and advantages, which mainly include: using leading technology at home and abroad to treat optic atrophy and retinitis pigmentosa, treating more than a thousand patients, and most of them have achieved good results, which have been identified as scientific and technological achievements by the Health Department of Jilin Province; It took the lead in introducing the world-advanced American excimer laser system in the province, and corrected more than 10,000 cases of myopia 1 10,000, all of which achieved satisfactory results; Posterior scleral reinforcement was first developed in China to prevent the development of fundus diseases such as high myopia and retinal detachment. More than 3000 patients underwent surgery with satisfactory results. Nearly 3000 cataract patients underwent phacoemulsification and intraocular lens implantation without hospitalization, and achieved a high cure rate. More than 1000 cases of glaucoma were treated by advanced foreign surgical methods, and the recurrence rate was very low. The treatment of viral keratitis is unique; Vitrectomy has treated many difficult ocular fundus diseases.
Optic atrophy is irreversible!
Now it can only slow down the shrinking speed!
Inhibition continues to shrink!
Really can't be treated surgically!
Surgical treatment of optic atrophy
Optic atrophy is a serious eye disease. Under the influence of various reasons, optic nerve fibers degenerate and the conduction function is damaged, resulting in decreased or lost vision. The etiology is very complicated and the treatment is very difficult.
The clinical manifestations of optic atrophy are: the color of optic papilla becomes pale or pale, the visual acuity decreases in different degrees and at different speeds, the visual field shrinks centripetally, there is a defect, it is hemianopia, and even the optic nerve function is completely lost.
There are many reasons for optic atrophy. The common causes are degeneration, inflammation and atrophy of retina and choroid, which can cause optic nerve atrophy, such as retinitis pigmentosa and high myopia. Optic nerve demyelinating diseases: such as multiple sclerosis and neuromyelitis optica; Inflammation: such as optic neuritis, retrobulbar optic neuritis, meningitis, sepsis, etc. Ischemic diseases: such as central retinal artery occlusion, intracranial artery insufficiency or occlusion, arteriosclerosis, hypertension, lupus erythematosus, massive hemorrhage, hypotony glaucoma, etc. Long-term optic papilla edema; Poisoning and malnutrition: such as lead, arsenic, benzene, methanol, ethanol, tobacco, carbon monoxide, sulfur dioxide, quinine, organophosphorus, ethambutol, etc. Malnutrition, such as pernicious anemia caused by vitamin B deficiency. Compression: such as compression of intracranial and orbital tumors, congenital premature closure of cranial suture, compression of optic canal fracture fragments, etc. Hereditary diseases, the most common is Ryder's congenital optic atrophy; Tumors: primary optic nerve tumors and optic nerve metastases; Syphilis; Optic nerve trauma and direct contusion; All kinds of glaucoma.
The etiology of optic atrophy is complex and difficult to treat. In the past, people used acupuncture, traditional Chinese medicine and hyperbaric oxygen, but the effect was not obvious and lasting. Especially hereditary optic atrophy, the fundamental treatment is gene therapy. In recent years, great progress has been made in the treatment of genetic diseases, but there are still many problems to be solved in these studies, so they are still in the clinical observation stage and have not been widely used in clinic.
Optic atrophy is caused by optic nerve fiber degeneration, gliosis and capillary occlusion caused by many diseases. Based on this pathological feature, our hospital has adopted the leading surgical method at home and abroad since 1995, that is, vascular shunt and greater omental vascular replantation to treat optic atrophy, which can increase the blood flow of ophthalmic artery, central retinal artery and posterior short ciliary artery supplying optic nerve and retina, improve the ischemic state of optic nerve and retina, enrich the nutrition of optic nerve and retina, further improve patients' vision and expand their horizons.
The optic nerve is like a communication cable carrying a lot of information, which transmits the visual impulse felt by the retina to the visual center of the brain.
, produce vision. Optic atrophy is a degenerative change caused by pathological damage of retinal ganglion cells and axons.
The transmission function of visual impulse is damaged, communication is interrupted, and vision cannot be formed in the visual center.
According to the causes of optic atrophy and the morphological manifestations of optic papilla, it is generally divided into two types in clinic:
1, primary optic atrophy
Also known as simple optic atrophy, it occurs in posterior optic neuritis, traumatic skull base fracture and tumor compression or inflammation in orbit.
Caused by ...
2. Secondary optic atrophy
It is the result of optic papilla, retina or choroid lesions. Clinically, it is not easy to distinguish the two, nor is it ten.
Strictly divided.
1. Different degrees of vision loss, light vision can generally be normal or slightly decreased, and severe vision can be completely blind.
2. The optic papilla is light in color, losing its normal orange-red, showing light yellow or light yellow. Primary, near the optic papilla
The boundary is clear, the physiological depression can be clearly identified or slightly enlarged, the sieve hole at the base of the depression is clearly visible, and the blood vessels in the retina are clearly visible.
Slightly thin; In secondary cases, the edge of optic disc is blurred and the boundary is unclear, and the surface of optic disc is covered with glial cells.
Tissue or organic matter, physiological depression disappears, cribriform plate tissue is not clear, retinal blood vessels become thinner, and blood vessels near optic papilla often exist.
With a white line.
3. The visual field is centripetal contraction, fan-shaped defect, hemianopia or central scotoma.
You can try Chinese medicine.
Treatment of optic atrophy
Optic atrophy has complex etiology, long course of disease and difficult treatment, which belongs to the category of "green blindness" in traditional Chinese medicine. At present, there is no ideal treatment for western medicine. In recent years, traditional Chinese medicine has achieved good results in the treatment of optic atrophy because of its many functions, small side effects and difficult rebound after treatment.
According to the etiology and pathogenesis of optic atrophy and the specific situation of patients, ophthalmology has formulated the treatment principle of optic atrophy with the overall concept under the guidance of the principle of syndrome differentiation and treatment, which has benefited a lot from many years of clinical practice. Many patients have recovered or improved their vision, broadened their horizons and received good treatment results. In the process of treatment, we mainly pay attention to the following three links:
First, according to the systemic symptoms, examine its causes and treat it according to syndrome differentiation.
The causes of optic atrophy are infection, malnutrition, trauma, drug poisoning, intracranial tumors and other diseases, which lead to imbalance of viscera and meridians and disharmony between qi and blood. According to the law that "the essence of the five internal organs concentrates on the eyes", there are many systemic symptoms besides the changes of local symptoms such as vision, visual field, visual field and fundus. Therefore, according to the systemic symptoms, combined with the patient's specific condition, inductive analysis should be made to clearly observe the deficiency and excess of viscera, so as to examine its causes, examine its causes and treat its causes.
Second, check the pupil shape and dialectical changes.
Patients with optic atrophy can see that their eyes are dark and transparent, and their pupils are not damaged, or they are slightly larger or slow to reflect light. "The Letter of Examination" says: "True essence is the essence transformed from two natural qi, which starts from the kidney, then applies to the gallbladder, and then reaches the pupil." It is expounded that the expansion and contraction of the pupil depend on the rise and fall of essence, the pupil is narrowed by the accumulation of essence, and the pupil is enlarged by the dispersion of essence. There is also a cloud in the Outline of Medicine: "Yin dominates the convergence, but Yin deficiency does not converge, so the pupil is large", which shows that if the whole body has the syndrome of yin deficiency and excessive fire or yin deficiency and blood heat, the pupil will be dilated, the expansion and contraction will be ineffective, and the vision will be reduced, leading to blindness.
Third, it is very important to tonify liver and kidney, qi and blood and spleen and stomach.
Optic atrophy is one of the difficult diseases in ophthalmology. There are many reasons for this disease. Although the legislation of doctors is different, it is directly related to liver and kidney deficiency and qi and blood yin deficiency. Pay attention to nourishing liver and kidney, benefiting qi and rising yang, soothing the liver and relieving depression, nourishing blood and promoting blood circulation during the treatment. The ancients said that "the liver begins to see clearly, and the liver can see when it receives blood", liver blood deficiency, kidney essence deficiency, qi and blood failing to rise, viscera imbalance, meridian obstruction, and five zang-organs essence failing to satisfy the eyes, leading to "green blindness" (optic atrophy). We mainly treat liver and kidney, but all diseases are born, mostly in qi and blood, and qi and blood are sufficient. Therefore, in the process of treatment, we also pay great attention to the spleen and stomach, because the spleen and stomach are the acquired foundation and the source of biochemistry. The essence of the five internal organs is transported and concentrated on the eyes by the spleen, while the healthy middle qi is full of qi and blood, ascending and descending orderly, and the viscera are harmonious, which is conducive to the rehabilitation of eye diseases.
At present, the main task is to find ways to prevent the deterioration of the disease and preserve residual vision.
But don't be discouraged, everyone will help you! Take your time!